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NPI Code Detail

MEDICARE: DR. HERSHEL B WELTON O.D.

MEDICARE: DR. HERSHEL B WELTON O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist04656 TPLCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902894959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HERSHEL B WELTON O.D.
Provider Business Mailing Address
First Line : 303 W LINCOLN AVE
Second Line : STE 120
City : ANAHEIM
State : CA
Zip : 92805-2928
Country : US
Telephone Number : 714-535-8404
Fax Number : 714-687-9848
Provider Business Practice Location Address
First Line : 303 W LINCOLN AVE
Second Line : STE 120
City : ANAHEIM
State : CA
Zip : 92805-2928
Country : US
Telephone Number : 714-535-8404
Fax Number : 714-687-9848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 07/08/2007

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Directions to “ DR. HERSHEL B WELTON O.D.” Practice Location

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